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History A 72-year-old Caucasian woman presented with a recent onset of headaches and visual changes and was found to have two cerebral tumors with surrounding edema in the right parietal and occipital lobes on brain MRI. There was a history…
History A 72-year-old man status post pericardial mitral valve (MV) replacement for a flail mitral valve and severe mitral regurgitation, Cox maze procedure for paroxysmal atrial fibrillation, and left atrial appendage ligation 10 days ago, presented with symptoms of fatigue,…
Case 1—An 85-Year-Old Man With Remote Aortic Valve Replacement Presents With Dyspnea History An 85-year-old man presented with dyspnea on exertion, ankle swelling, and NYHA class II heart failure. He reported no orthopnea or paroxysmal nocturnal dyspnea. Patient had a…
Case 1—62-Year-Old Man for General Medical Evaluation History A 62-year-old man presented for routine general medical evaluation. There was a history of mild exertional dyspnea and palpitations. His New York Heart Association class was class I. There was no abnormal…
Case 1—A 75-Year-Old Woman With Known Advanced Cardiomyopathy Presents to the Emergency Department With Recurrent Dyspnea History A 75-year-old woman presented to the emergency department with increasing weight gain and shortness of breath. She was known to have nonischemic cardiomyopathy…
Case 1—A 72-Year-Old Man With Dysphagia, Dyspnea, and Ankle Edema History ■ Α 78-year-old man presented with worsening dysphagia, dyspnea, and ankle edema. ■ He had a history of coronary artery disease status post prior coronary artery stenting, congestive heart…
Case 1—A 70-Year-Old Man With Postoperative Atrial Fibrillation History ■ Cardiology consultation was obtained for a 70-year-old man for atrial fibrillation (AF) after a second knee arthroplasty surgery during current admission. Patient was on coumadin, and it had been restarted…
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Patient positioning ■ Semi-recumbent position on the left side with the head elevated ■ Left arm under the head or the pillow ■ Right arm on the right side Operator positioning Right-handed operator: The operator sits on the patient’s right…